Use of Reperfusion Therapy for Acute Myocardial Infarction in the United States: Data From the National Registry of Myocardial Infarction 2

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Abstract

Background

There is clear evidence that reperfusion therapy improves survival in selected patients with an acute myocardial infarction. However, several studies have suggested that many patients with an acute myocardial infarction do not receive this therapy. Whether this underutilization occurs in patients appropriate for such therapy remains unclear.

Conclusions

Reperfusion therapy may be underutilized in the United States. Increased use of reperfusion therapy could potentially reduce the unnecessarily high mortality rates observed in women, the elderly, and other patient groups with the highest risk of death from an acute myocardial infarction. (Circulation. 1998;97:1150-1156.)

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